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Organization
THERATAGE REHAB SERVICES, INC.
Active
Organization
THERATAGE REHAB SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD THOMAS JELETIC II MPT (CEO)
(864) 567-5969
Entity
Organization
Contact information
Practice address
6 FELHURST CT, SIMPSONVILLE, SC 29681-6546
(864) 567-5969
(864) 288-2277
Mailing address
6 FELHURST CT, SIMPSONVILLE, SC 29681-6546
(864) 567-5969
(864) 288-2277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5477
SC
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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